Individual
DR. KELLIE K LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
113017
CA
122300000X
Dentist
22DI02988000
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
113017
CA
Other
Enumeration date
01/30/2024
Last updated
06/23/2026
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